Page 47

Model Application Template for the State Children’s Health Insurance Program

Effective Date:

October 1, 2009 47 Approval Date: November 19, 2010 Section 9. Strategic Objectives and Performance Goals and Plan Administration (Section 2107)

9.1. Describe strategic objectives for increasing the extent of creditable health coverage among targeted low-income children and other low-income children: (Section 2107(a)(2)) (42CFR 457.710(b))

1. The number of low-income (<200% FPL), uninsured children in AL will be reduced each year.

2. Given available funding, the number of low income (between the Medicaid eligibility upper income levels and 200% FPL), children enrolled in ALL Kids will be maintained at at least 50,000 (current enrollment) at any given time.

3. The number of low-income children (incomes in the Medicaid income eligibility ranges) enrolled in SOBRA Medicaid will be maintained at at least 300,000.

4. Enrollment in ALL Kids will result in more children having a medical home.

5. Enrollment in ALL Kids will result in a higher usage of preventive care.

6. Specialty services beyond the basic ALL Kids coverage package will be available for ALL Kids enrolled children with special health care needs.

9.2. Specify one or more performance goals for each strategic objective identified: (Section 2107(a)(3)) (42CFR 457.710(c)) 1. Performance Goals for Objective 1: a. The number of low-income uninsured children in AL will be reduced by 1% each year until the number of low-income uninsured children is no larger than 10% of the children in the state. b. A tracking system will be established by April 2004, which will track applicants referred among ALL Kids, SOBRA Medicaid, and the Alabama Child Caring Foundation.

2. Performance Goals for Objective 2 a. The percentage of families who do not renew their children’s ALL Kids coverage due to a financial barrier (owing past premiums) will not be more than 3% annually. b. A higher percentage of families with ALL Kids enrolled child(ren), report that financial barriers to accessing care have been reduced since enrollment in ALL Kids in comparison to the time before enrollment in ALL Kids. c. Plans which target outreach activities toward specific populations: (adolescents, Native Americans, and faith-based organizations) will be developed by October, 2002.